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Theoretical and Conceptual Framework

This study was anchored on the concept of Hassan et al. (2016) in which they state that
there was a link hemoglobin concentration and age, sex, nutrition, disease and highlands,
smoking and stress could cause considerable alterations in CBC such as Hemoglobin level as
most vital parameter and hormonal alterations.
In a conducted study, there was a significant drop of hemoglobin values among Haweeja
woman which has been linked to psychological distress due to the current political crisis
happening in their country.
As medical or paramedical students is concerned, they are more prone to stress which is
commonplace for them and it is also a process oriented especially the emotional factors (Melaku,
Mossie & Negash, 2015). They are also bombarded with different kind of activities catalyzing an
amount to trigger stress from different stressors especially Academic related which implicated to
poor academic and examinations as vital parameters (Sharma & Wavare, 2013). Stress is the
precursor of the deterioration of the efficiency of the student which primarily resulting to
negative mental effects of the students which lead to depression and suicidal thoughts. Also, the
lifestyle which can be a causative agent to deviate the hemoglobin levels from its normal ranges
in the body. As what aforementioned above, it is suitable to test paramedical students as a tool
for this research.
As people differ different lifestyle pattern, it is inconclusive to know the true
variables affecting hemoglobin, though it can be resolved by knowing their lifestyle specifically
their behavioral standpoint.
As what researchers want to know, it is the correlation of the psychological distress
which is prevalent to paramedical students due to some significant stressors and the possible
implication of the variation of their hemoglobin levels in their body.